Brian Mustico, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0165851 Issued in NY

Practice address

512 West Clinton Street
Apartment B
Elmira, NY 14901

Phone

(607) 235-1769

NPI assigned

Feb 27, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Cedar Park, TX
  • NPI 1871132357

  Occupational Therapist

  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Occupational Therapist

  NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1790373785

  Occupational Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1144594946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W CLINTON ST",
            "address_2": "APT B",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 WEST CLINTON STREET",
            "address_2": "APARTMENT B",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14901",
            "telephone_number": "607-235-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTICO",
        "first_name": "BRIAN",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0165851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Murat
• Sherri Murchison-Green, LCSW
• Jessica Murphy
• Mary B Muse, M.D.
• Zain-Ul Mustafa Mushtaq, MD
• Stephanie Blanche Mustico, PHARMD
• Heather Marie Muto, PHARMD
• Kathryn Carolyn Nagle-Rarick, REGISTERED NURSE
• Rachel Olivia Nagy, LMSW
• Jotsana Naidu, MD

• Occupational Therapist in Elmira, NY
• Providers in Elmira, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.